Effective communication is one of the five pillars of leadership identified by The Joint Commission. Nonverbal communication, such as facial expressions, gestures, and body language, account for at least 50% of overall communication. Smiling communicates warmth and openness, while a lack of smiling signals that one does not wish to be interrupted. As healthcare leaders, it is important to be aware of both verbal and nonverbal communication and to smile in order to build self-esteem, communicate positively, and meet the needs of staff and patients through polite conversation. Effective and consistent communication is critical for collaborative decision making with staff and patients, and supports safe patient care.